Subperiosteal Implants
Introduction
If you have missing teeth, it is important to have the gaps filled with a bridge or implant to prevent bone loss and shrinkage of the jawbone. Subperiosteal implants may not be as strong as endosteal implants, but they are a better option than ordinary dentures, partial dentures, and bridges.
Overview
Subperiosteal implants are a type of dental implant used primarily for patients who lack sufficient bone height or density for conventional implants.
These implants consist of a metal frame that is strategically placed underneath the periosteum, which is the layer of tissue surrounding the jawbone.
Once the frame has fused with the bone, artificial teeth can be mounted onto the posts that are attached to the frame.
This method provides a stable foundation for dentures and has become a viable option for those seeking to restore their smile without undergoing extensive bone grafting procedures.
Advantages of subperiosteal implants procedure
The advantages of subperiosteal implant procedure are as follows:
- No Bone grafting required: Subperiosteal implants don’t require bone grafting procedures before placement, making the process quicker and less invasive.
- Customizable: These implants can be custom-made and attached to the patient’s jaw, ensuring a comfortable and natural-looking fit.
- Stable and durable: Subperiosteal implants anchored to the jawbone using small posts, providing a stable and durable foundation for replacement teeth.
- Suitable for patients with insufficient jawbone density: These dental implants work well for patients with insufficient jawbone density who may not be candidates for traditional endosteal implants.
- Versatile: Subperiosteal implants can be used to replace one or multiple missing teeth or support a full arch restoration or full mouth rehabilitation.
- Easy to clean and maintain: They can be cleaned just like natural teeth, making it easy for patients to maintain good oral hygiene.
prepare for subperiosteal implants procedure
Subperiosteal implants are non invasive procedures, so the preparation process is pretty straightforward. It starts with undergoing a comprehensive exam to assess your suitability, update your medical history, and discuss sedation options.
Prepare your body by getting the rest it needs and fast for 12 hours if you will be going under general anesthesia. It’s also a good idea to make arrangements for a few days after the surgery so you can rest and heal.
steps of subperiosteal implants procedure
The steps of subperiosteal implants procedure are as follow:
Step 1-Analysis:
After the examination, the dentist will ask you a 3D image. The patient’s measurements are taken, photographs are taken, and tooth forms compatible with the desired facial features and skin color are determined.
The preparation of the immediate temporary prosthesis to be delivered to the patient at the end of the operation begins.
Step 2-Subperiosteal implant design:
The technical team and maxillofacial surgeon design the subperiosteal implant based on the 3D image of the patient. During the design, the resistance to chewing loads and the contribution of the implant to the aesthetic profile are evaluated and the infrastructure works are completed.
Step 3-Subperiosteal implant production:
After the analysis, the production phase of the implant is started by the technical team. As in cylindrical implants, titanium with high tissue compatibility is preferred as a material.
Step 4-Subperiosteal implant surgery:
It is a comfortable application that can be easily tolerated under local anesthesia, performed by a maxillofacial surgeon who has a good command of the application.
Depending on the patient’s preference, it can be easily applied under general anesthesia or sedation.
Step 5-Subperiosteal implant prosthesis:
The fixed temporary prosthesis prepared with the technical team is combined with the implant at the end of the operation and the patient is discharged with new teeth.
Following 2 to 3 weeks of soft tissue formation, a fixed permanent prosthesis prepared from porcelain, zirconium or acrylic is made according to the patient’s preference.
subperiosteal implants aftercare
Sometimes, the failure or complication rate of a subperiosteal implants can be high. The better way to prevent these issues is to maintain good oral hygiene and religiously follow the post-operative instructions from your oral surgeon.
Some patients may experience swelling and temporary pain in the implant for a few days, and your oral surgeon may instruct you to consume only soft foods for a week or so.
Smoking can also augment your risk of dental implant failure and hence, should be avoided. Make sure, your oral surgeon checks for infection and proper gum growth at your follow-up appointments and remove any stitches if needed.
risks and complications of subperiosteal implants
The most important risks and complications of subperiosteal implants are as follow:
Invasive surgery:
The procedure for a subperiosteal implant is more invasive than other types of implants, such as endosteal implants. This can result in more pain, an increased risk of complications, and a longer recovery time for patients.
Risk of infection:
Since the implant is placed under the gum tissue, there’s a higher risk of infection.
Limited placement:
Subperiosteal implants are not suitable for all patients. They’re typically only used in cases where there’s not enough bone to support the implant. However, even in these cases, not all patients are good candidates for a subperiosteal implant.
What are subperiosteal implants?
Subperiosteal implants are a type of dental implant used to provide support for dentures. Unlike traditional implants that are placed directly into the jawbone, these implants are positioned beneath the periosteum, which is the layer of tissue surrounding the bone.
Does a subperiosteal implant require bone grafting?
A subperiosteal implant, which is placed beneath the periosteum of the jawbone, may or may not require bone grafting, depending on the patient’s specific condition. If there is sufficient bone structure already present to support the implant, grafting may not be necessary.
How do I prepare for subperiosteal implant?
Preparing for a subperiosteal implant involves several key steps to ensure a successful procedure. First, the patient should schedule a comprehensive consultation with a dental professional to assess their oral health and suitability for the implant. This appointment typically includes imaging studies, such as X-rays or CT scans, to evaluate bone structure and determine the exact position for the implant. Patients are also advised to discuss their medical history and current medications to identify any potential risks.
Are subperiodsteal implants invasive?
Subperiosteal implants are considered an invasive procedure. They involve placing a metal framework beneath the gum tissue but above the bone. This method requires surgical intervention, as the gums must be opened to position the implants properly
Can the subperiosteal implant cause an infection?
Subperiosteal implants, which are placed under the gum tissue but above the jawbone, can potentially lead to infections. After their placement, bacteria can enter the area surrounding the implant, especially if proper oral hygiene is not maintained. Signs of infection may include redness, swelling, and pain at the site.
Results
Subperiosteal implants are a tooth restoration option used to replace missing teeth for patients who have insufficient bone density in the jaw. Instead of being placed directly in the jawbone, subperiosteal implants are placed under the gum line on top of the bone.
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